Active NPI
Larisa Liles Pearce, LDN RD
- Registered Dietitian
- Lake Charles, LA
National Provider Identifier
1154347060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1772
- Practice address
- 1000 Walters St
Lsu W O Moss Regional Medical Center
Lake Charles, LA 70607-4699 - Phone
- (337) 475-8140
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 853413 | IL | |
| Registered Dietitian | 133V00000X | 1772 | LA | Primary |
Addresses
Primary practice location
1000 Walters St
Lsu W O Moss Regional Medical Center
Lake Charles, LA 70607-4699
Mailing address
200 Arlington Dr
Lake Charles, LA 70605
Phone (337) 475-8140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 853413 | IL | MD | Registered Dietitian |
| 1772 | LA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154347060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ARLINGTON DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70605",
"telephone_number": "337-475-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WALTERS ST",
"address_2": "LSU W O MOSS REGIONAL MEDICAL CENTER",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706074699",
"telephone_number": "337-475-8140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "LARISA",
"middle_name": "LILES",
"name_prefix": "Mrs.",
"credential": "LDN RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "853413",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "1772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- Pdi of the South, Inc.
- Peace and Hope Counseling LLC
- Peaceful Pathways Behavioral Health Services
- Mary Charly Peacock, LCSW
- Peak Expression Chiropractic LLC
- Todd Allen Peavy, MD
- Shreyas Venkat Peddigari, MD
- Alana Christine Peden, LPN
- Pediatric Cardiology of Southwest Louisiana, LLC
- Pediatric Therapy of Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.